Asked by: Simon Jupp (Conservative - East Devon)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what steps he is taking to help tackle violence against women and girls in East Devon constituency.
Answered by Laura Farris - Parliamentary Under Secretary of State (Ministry of Justice) (jointly with Home Office)
It is difficult to determine the specific activity to tackle violence against women in the East Devon constituency as services are mostly commissioned at a national level, and not monitored by the Home Office by constituency.
To help support local service commissioners, we published a revised National Statement of Expectations in March 2022, which sets out how local areas should commission effective services. It also aims to increase understanding of the need for specialist services and the value of those designed and delivered by and for the users and communities they aim to serve.
As part of the effort to tackle these crimes across England and Wales, in 2021 we published our cross-Government Tackling Violence Against Women and Girls Strategy to help ensure that women and girls are safe everywhere - at home, online, at work and in public. This was followed by a complementary cross-Government Tackling Domestic Abuse Plan in 2022.
These documents aim to transform the whole of society’s response to these crimes with actions to prevent abuse, support victims and pursue perpetrators, as well as to strengthen the systems that underpin the response. The actions set out in both strategy documents benefit all regions across England and Wales, including East Devon.
The Tackling Domestic Abuse Plan committed to over £230 million from 2022-2025. As part of this commitment, the joint Home Office-Ministry of Justice VAWG Support and Specialist Service Fund will provide up to £8.3 million (in total) from 2023-2025 for specialist organisations to support victims often facing the greatest barriers to getting the help they need.
The Tackling Domestic Abuse Plan funding also includes the Children Affected by Domestic Abuse (CADA) Fund, which allocated £10.3 million over three years (2022-2025) to eight organisations across England and Wales to provide specialist support within the community to children who have been impacted by domestic abuse. Part of this includes c.£1.25m for the Children’s Society to provide direct support for children and young people and families, including those from rural and hard to reach communities, covering Devon, Shropshire, Rochdale and Merseyside.
In May 2023, the Home Office also launched a £300,000 ‘flexible fund’ trial in partnership with Women’s Aid Federation for England to make direct cash payments of £250 to victims and survivors of domestic abuse (£500 to those with children and those who are pregnant) to help remove barriers to leaving an abusive relationship. In November 2023, the Government commitment to support victims was renewed with a further £2m investment into the Flexible Fund until March 2025.
Through the current Round Five of the Safer Streets Fund, the Home Office has directly awarded £34 million to Police and Crime Commissioners across England and Wales to deliver interventions to tackle neighbourhood crime, anti-social behaviour and VAWG. Devon and Cornwall received £819,998.64 (2024-2025) to support projects covering Paignton, Camborne and Redruth and are delivering educational training packages such as bystander training to help address behaviour and attitudes on VAWG and using night-time economy marshalls for patrols in the town centres.
Asked by: George Howarth (Labour - Knowsley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure the (a) experiences and (b) specialist needs of young people with cancer are reflected in the work of the Children and Young People Cancer Taskforce.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Supporting children and young people affected by cancer remains a priority for the Government. The scope of the Children and Young People Cancer Taskforce, including stakeholder engagement, will be determined once the work of the taskforce begins, currently planned to start from Spring 2024.
The Children and Young People Cancer Taskforce is being set up to progress the Government’s mission to deliver world-leading cancer services. This is dedicated work focusing on cancers affecting children and young people and will explore detection and diagnosis, including improving awareness of the signs and symptoms of cancer in young people, as well as genomic testing, treatment, and research and innovation.
Asked by: George Howarth (Labour - Knowsley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to consult young people with cancer affected by cancer during the development of the Children and Young People Taskforce.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Supporting children and young people affected by cancer remains a priority for the Government. The scope of the Children and Young People Cancer Taskforce, including stakeholder engagement, will be determined once the work of the taskforce begins, currently planned to start from Spring 2024.
The Children and Young People Cancer Taskforce is being set up to progress the Government’s mission to deliver world-leading cancer services. This is dedicated work focusing on cancers affecting children and young people and will explore detection and diagnosis, including improving awareness of the signs and symptoms of cancer in young people, as well as genomic testing, treatment, and research and innovation.
Asked by: Alex Sobel (Labour (Co-op) - Leeds North West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce waiting times for Attention Deficit Hyperactivity Disorder assessments in Leeds North West constituency.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
It is the responsibility of the integrated care boards (ICBs) to make available the appropriate provision to meet the health and care needs of their local population, including access to attention deficit hyperactivity disorder (ADHD) assessments, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines. The NICE guidelines for ADHD diagnosis and management aim to improve the diagnosis of ADHD and the quality of care and support people receive. The NICE guidelines do not recommend a maximum waiting time standard for ADHD diagnosis, either from referral for an assessment to receiving an assessment, a diagnosis, or a first contact appointment.
There is, at present, no single, established dataset that can be used to monitor waiting times for assessment for ADHD. A specific assessment of the implications for departmental policies of the number of people on a waiting list, or the number of assessments provided each month for adult ADHD services in Leeds, is not currently planned.
The Department is exploring options to improve data collection and reporting on ADHD assessment waiting times nationally, to help improve access to ADHD assessments in a timely way, and in line with the NICE guideline. In support of this, the National Institute for Health and Care Research’s Policy Research Programme has commissioned a research project to provide insights into local ADHD diagnosis waiting times data collection.
In December 2023, NHS England initiated a rapid piece of work to consider ADHD service provision within the National Health Service. The initial phase of work identified challenges, including with current service models and the ability to keep pace with demand. Following this initial review, NHS England is establishing a new ADHD taskforce alongside the Government, to improve care for people living with the condition. The new taskforce will bring together expertise from across a broad range of sectors, including the NHS, education, and justice, to better understand the challenges affecting people with ADHD and help provide a joined-up approach in response to concerns around rising demand for assessments and support.
Alongside the work of the taskforce, NHS England has announced that it will continue to work with stakeholders to develop a national ADHD data improvement plan, carry out more detailed work to understand the provider and commissioning landscape, and capture examples from local health systems who are trialling innovative ways of delivering ADHD services, to ensure best practice is captured and shared across the system.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to help ensure equitable provision of Hormone Replacement Therapy for women.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The menopause is a priority area within the Women’s Health Strategy, and the Government and National Health Service are implementing an ambitious programme of work to improve menopause care, so all women can access the support they need, including hormone replacement therapy (HRT).
We have reduced the cost of HRT prescriptions through the HRT prescription prepayment certificate (PPC), which enables women who pay for their prescriptions to pay less than £20 for all their HRT prescriptions for a year. In the first year, 1 April 2023 to 31 March 2024, 566,042 HRT PPCs have been purchased.
Asked by: Alex Sobel (Labour (Co-op) - Leeds North West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the implications for her policies of the number of (a) people that are on a waiting list and (b) assessments provided each month at the Leeds adult attention deficit hyperactivity disorder service.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
It is the responsibility of the integrated care boards (ICBs) to make available the appropriate provision to meet the health and care needs of their local population, including access to attention deficit hyperactivity disorder (ADHD) assessments, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines. The NICE guidelines for ADHD diagnosis and management aim to improve the diagnosis of ADHD and the quality of care and support people receive. The NICE guidelines do not recommend a maximum waiting time standard for ADHD diagnosis, either from referral for an assessment to receiving an assessment, a diagnosis, or a first contact appointment.
There is, at present, no single, established dataset that can be used to monitor waiting times for assessment for ADHD. A specific assessment of the implications for departmental policies of the number of people on a waiting list, or the number of assessments provided each month for adult ADHD services in Leeds, is not currently planned.
The Department is exploring options to improve data collection and reporting on ADHD assessment waiting times nationally, to help improve access to ADHD assessments in a timely way, and in line with the NICE guideline. In support of this, the National Institute for Health and Care Research’s Policy Research Programme has commissioned a research project to provide insights into local ADHD diagnosis waiting times data collection.
In December 2023, NHS England initiated a rapid piece of work to consider ADHD service provision within the National Health Service. The initial phase of work identified challenges, including with current service models and the ability to keep pace with demand. Following this initial review, NHS England is establishing a new ADHD taskforce alongside the Government, to improve care for people living with the condition. The new taskforce will bring together expertise from across a broad range of sectors, including the NHS, education, and justice, to better understand the challenges affecting people with ADHD and help provide a joined-up approach in response to concerns around rising demand for assessments and support.
Alongside the work of the taskforce, NHS England has announced that it will continue to work with stakeholders to develop a national ADHD data improvement plan, carry out more detailed work to understand the provider and commissioning landscape, and capture examples from local health systems who are trialling innovative ways of delivering ADHD services, to ensure best practice is captured and shared across the system.
Asked by: Alex Cunningham (Labour - Stockton North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of developing a social worker workforce strategy that prioritises (a) recruitment, (b) retention and (c) professional pathways.
Answered by Helen Whately - Minister of State (Department of Health and Social Care)
In December 2021, the Government set out its strategy for the social care workforce in The People at the Heart of Care white paper. This set out our commitment to the continued success of the social work profession, and included plans to develop the domestic care workforce, including the launch of the care workforce pathway and an investment of over £20 million for adult social care nurse and social work apprenticeships.
On 10 January 2024, the Government announced a new fund to support the recruitment of social work apprentices into adult social care, over the next three years. Nearly £8 million from this fund has already been released to local authorities, and in the summer there will be another opportunity to apply to this fund.
Asked by: Dan Poulter (Labour - Central Suffolk and North Ipswich)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many full-time equivalent district nurses worked in the NHS in England in each financial year since 2009-10.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
NHS England publishes Hospital and Community Health Services workforce statistics for England. These include staff working for hospital trusts and other core organisations, but excludes staff working for other providers such as in primary care, general practice, or social care. This data is drawn from the Electronic Staff Record, the human resources system for the National Health Service. The statistics, including those for district nurses, are available at the following link:
We know that district nurses will also work outside NHS trusts, for other providers of community services. We do not hold data on the number of district nurses working outside the NHS. The Nursing and Midwifery Council publishes data on the number of nurses with district nursing qualifications on the professional register across the United Kingdom, and is available at the following link:
https://www.nmc.org.uk/about-us/reports-and-accounts/registration-statistics/
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to paragraph 3.64 of the NHS Long Term Plan, published in January 2019, what steps she is taking to ensure that every person diagnosed with cancer will have access to (a) personalised care, (b) a needs assessment, (c) a care plan and (d) health and wellbeing information and support.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
Ensuring every person diagnosed with cancer has access to personalised care and support is a key priority for the Government. The NHS Long Term Plan for cancer states that where appropriate, every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan, and health and wellbeing information and support. NHS England is committed to ensuring that all cancer patients have access to a Holistic Needs Assessment and Personalised Care and Support Planning, ensuring care is focused on what matters most to each person. Additionally, End of Treatment Summaries are being introduced, which aims to empower people to manage the impact of their cancer after treatment. Health and wellbeing information and support is provided from diagnosis onwards, and includes access to NHS Talking Therapy services for anxiety and depression. This is alongside wider work to improve psychosocial support for people affected by cancer, such as through local partnerships with cancer support charities.
NHS England and the integrated care boards are responsible for commissioning and ensuring that the healthcare needs of local communities in England are met, including for cancer patients. NHS England provides access to a personal health budget, which is an amount of National Health Service money that is allocated to support the health and wellbeing needs of a patient, if eligible. Further information is available at the following link:
https://www.nhs.uk/nhs-services/help-with-health-costs/what-is-a-personal-health-budget/
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of implementing a Parkinson's Passport that would give automatic access to clearly defined benefits.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The Department is currently exploring the feasibility of this, and the other asks within the charter.
The Department for Work and Pensions offers Personal Independence Payments (PIP) to individuals with health conditions or disabilities. However, there is currently no automatic entitlement to PIP in relation to specific health conditions, except in cases of people nearing the end of life, specifically the last year of life. The Government understands that there are people with severe and lifelong health conditions which will not improve. Guidance ensures that those on the highest level of support, whose needs will not improve, receive an ongoing award with a light-touch review at the 10-year point.
The primary focus of the Department for Transport’s Blue Badge scheme is to help those with the greatest mobility needs. Eligibility is not based on the type of disability. There are several automatic qualifying criteria for a Blue Badge, such as being in receipt of PIP because you cannot walk more than 50 metres. People who do not automatically qualify for a Blue Badge may still be eligible for a badge through further assessment.
With regards to free prescriptions, approximately 89% of prescription items are currently dispensed free of charge, and there is a wide range of exemptions from prescription charges already in place. People with Parkinson’s disease who are 60 years old or over are entitled to free prescriptions. For those that have to pay for prescriptions, the cost can be capped by purchasing a pre-payment certificate, which can be paid for in instalments. Additionally, the NHS Low Income Scheme can provide help with health costs on an income-related basis.